| Title | Anesthetic management of an obstetric patient with MELAS syndrome: case report and literature review. | | Author(s) | Maurtua M, Torres A, Ibarra V, Deboer G, Dolak J | | Institution | Department of General Anesthesiology and Critical Care Medicine, The Cleveland Clinic Foundation, Cleveland, OH, USA. | | Source | Int J Obstet Anesth 2008 Aug 6. | | Abstract | Mitochondrial myopathy, encephalopathy, lactic acidosis, and stroke-like episodes (MELAS syndrome) is a mitochondrial disorder associated with neurologic, cardiac, neuromuscular, hepatic, metabolic and gastrointestinal dysfunction and potential anesthetic and obstetric complications. The case of a parturient with MELAS syndrome requiring labor analgesia is presented. A Medline literature search limited to the English language was undertaken to review cases of MELAS syndrome. Based on our experience and literature review, parturients with MELAS syndrome appear to benefit from neuraxial analgesia and anesthesia, which blunt excessive oxygen consumption and acidosis. | | Language | ENG | | Pub Type(s) | JOURNAL ARTICLE
| | PubMed ID | 18691868 |
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